Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $20,892.96	Facility		$1,862.09	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,630.27	Professional		$891.25	$1,174.90	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $6,918.31	Facility		$645.65	$1,122.02	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,019.95	Professional		$1,096.48	$1,584.89	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $15,848.93	Facility		$1,288.25	$2,290.87	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $6,309.57	Professional		$1,288.25	$2,187.76	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $1,995.26	Facility		$1,380.38	$1,862.09	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,995.26	Facility		$1,348.96	$1,380.38	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $2,951.21	Professional		$1,380.38	$2,238.72	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,570.40	Professional		$1,348.96	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $18,197.01 / $33,884.42	Facility		$2,884.03	$18,197.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,884.03	Professional		$1,023.29	$1,380.38	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,698.24	Professional		$912.01	$1,047.13	$1,698.24